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Individual

EDWARD N BARTHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
125 E BARKWOOD CT, MEQUON, WI 53092-5893
(414) 290-6720
(414) 290-6755
Mailing address
125 E BARKWOOD CT, MEQUON, WI 53092-5893
(414) 290-6720
(414) 290-6755

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036095360
IL
207P00000X
Emergency Medicine Physician
Primary
26092
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110136770
MEDICARE RAILROAD
WI
05
30700200
WI
01
930085038
MEDICARE RAILROAD
WI
01
P00024343
MEDICARE RAILROAD
WI
Enumeration date
04/06/2006
Last updated
07/30/2008
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